Reimbursement Specialist

About Tandem Diabetes Care

Tandem Diabetes Care develops diabetes technology designed to create a better experience for people living with diabetes, their families, and healthcare professionals. The company is known for a people-centered approach, a commitment to innovation, and a focus on doing things the right way without cutting corners. It manufactures and sells the Tandem Mobi system and the t:slim X2 insulin pump with Control-IQ+ technology, an advanced predictive algorithm that automates insulin delivery.

Many team members personally understand the impact of diabetes, which makes the work especially meaningful. The organization values teamwork, growth, and making a real difference in the lives of customers.

Role Summary

The Reimbursement Specialist is responsible for ensuring insurance claims are handled promptly, accurately, and efficiently. This role focuses on collecting payments from both contracted and non-contracted insurance carriers as well as customers, while working closely with Customer Sales Support to maintain accurate data and follow the requirements set by health insurance plans.

What You Will Do

• Review medical criteria and confirm that patient records satisfy the required standards.
• Examine patient information and supporting documents carefully before claim submission.
• Prepare and send healthcare claims to insurance providers.
• Update patients on insurance claim progress when needed.
• Reach out to patients about unpaid invoices and collection matters.
• Take incoming calls from patients with insurance claim questions.
• Make outbound calls to insurers to check the status of unresolved claims.
• Work out structured payment arrangements when appropriate.
• Use the CRM system to access and update patient claim details.
• Stay current on Tandem’s products and services.
• Complete all required training before taking on full job duties.
• Follow company policies and all applicable privacy, HIPAA, legal, regulatory, and safety requirements.

Requirements

• A bachelor’s degree or an equivalent mix of education and relevant work experience.
• At least 2 years of experience in medical billing or a closely related field.
• Prior work in a HIPAA-regulated setting is required.
• Experience billing durable medical equipment is preferred.
• Background in diabetes care or other diagnostic/device-based disease management is preferred.
• Solid understanding of medical billing, insurance claims processing, and follow-up workflows.
• Working knowledge of the data required on a HCFA 1500 billing form.
• Familiarity with billing codes and modifiers used by CMS.
• Ability to interpret Explanation of Benefits documents from healthcare providers.
• Understanding of claims clearinghouses and how they function.
• Strong phone communication skills for handling customer and insurer conversations within department procedures.
• Ability to communicate work updates clearly in both verbal and written form.
• Team-oriented mindset with the ability to support and help onboard new colleagues.
• Consistent accuracy, ability to follow directions and schedules, and comfort handling multiple priorities.
• Experience using MS Office tools, the internet, and CRM platforms.

Work Location and Schedule

This is a fully remote position open to candidates anywhere in the United States. The shift must be available to start at 5:00 AM PST. Work equipment will be provided, and training will take place virtually.

Compensation and Benefits

The starting hourly base pay is between $23.00 and $25.00. Pay may vary based on role-related knowledge, skills, experience, location, and market conditions. In addition to base pay, the company offers a bonus opportunity and a competitive benefits package.

• Medical, dental, and vision coverage available from day one
• Health Savings Accounts and Flexible Spending Accounts
• 11 paid holidays per year
• A minimum of 20 days of paid time off, with accrual beginning on day one
• 401(k) plan with company match
• Employee Stock Purchase Plan

Additional Information

Applicants with arrest or conviction records will be considered in line with applicable state and local Fair Chance laws. Any offer of employment will depend on successful completion of a pre-employment screening process that includes a drug test excluding marijuana and a background check covering criminal history.

The role may require access to proprietary, sensitive, or confidential information, including customer protected health information. For that reason, criminal history review is required to support trust, integrity, and protection of customer and company interests.

Candidates must be authorized to work for any employer in the United States. Sponsorship for a work visa is not available, and existing sponsorship cannot be transferred or assumed.

The company welcomes applicants even if they do not meet every listed qualification and maintains an inclusive hiring approach based on individual merit.

Equal opportunity is extended to all applicants regardless of age, disability, sex, race, religion or belief, gender identity or expression, marital or civil partnership status, pregnancy or maternity, or sexual orientation.

Referrals are encouraged. The role will remain open until a final candidate is selected or enough applications have been received.

Tandem describes its culture as one that values joy, growth, teamwork, and a supportive, upbeat environment.

About the Employer

Tandem Diabetes Care emphasizes innovation, inclusion, and a human-centered approach to designing and supporting diabetes technology that helps people live better.